Search › South Carolina › 101YP2500X
Kelly Moultrie
NPI 1033531900 · on the registry since 2014
Practice
- Address
- 1850 Pineview Dr
Columbia, SC 29209 - Phone
- (803) 783-0303
- Fax
- (803) 783-0955
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina